Angel Cat Pet Adoptions

Pet Information
Name of Pet desired
Second Choice

Applicant Information
Applicant Name:
Home Address:
City, State, Zip:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Drivers License or ID #:
Emergency Contact Name and Phone #:	Name: Phone:

1. What type of house do you live in?	if other:
2. How long have you lived at your current residence?
3a. Do you rent?
3b If yes, do you have permission from your landlord to have a pet?
3c. May we contact your landlord?
3d. Landlord Name:	Name: Phone:
4. Are you aware that pets need regular vaccinations and may require routine veterinary care?
5. Are you willing to provide adequate veterinary care if this animal becomes sick or injured?
6a. Name of veterinarian(s) used in the past:	Name: Phone:
6b. Name of animal(s) treated:
6c.Date of treatment:
6d. Describe treatment:
6e. Name of Add'l veterinarian(s) used in the past:	Name: Phone:
6f. Name of animal(s) treated:
6g.Date of treatment:
6h. Describe treatment:
6i. Add'l Vet info (if appl.)
7. Would you allow an inspection of your premises by our adoption personnel?
8. Do you plan to put an I.D. tag on this pet?
9. Do you plan to spay/neuter this pet? If no, please explain why not?
10. How many hours per day will this pet be left alone?
11. Is anyone in your home allergic to animals?
12a. Do you currently own any cats?
12b. If Yes, does your cat go outside?
12c. If your cat goes outside, has your cat been Feline Leukemia and FIV tested?
12d. Where will the new cat be kept?
13. Please furnish breeds, sex, and age of all current pets:

Breed	Sex	Age

14a. Have you ever owned a pet in the past?
14b.If yes, what happened to the pet?
14c.If deceased, please state causes, if known, and how long ago.
15. Please list the age of all children in your home
16. On the first night in the home, where will this pet stay? (please specify)
17. Who will be responsible for the pet?
18. Pets are known to chew/claw furniture, carpet and drapes, and dig in potted plants, etc. How do you plan to deal with this problem?
19. Do you have a doggy-door?
20. How soon after this pet arrives in your house will it be left alone?
21a. How often do you travel?
21b. How will this pet be cared for while you are out of town?
22a. What will happen to this pet if you move?
22b.Locally?
22c. Out of State?
22d. Overseas?
23. Under what circumstances would you NOT keep this pet?	If other, explain:
24. What will happen to this pet if you become seriously ill, incapacitated or are otherwise no longer able to care for this pet?

25. I have read Angel Cat Adoption Requirements (www.angelcatpetadoptions.org/adoption_requirements.html) and will agree to these terms should I be approved for adoption.

You must enter the code shown below in this box

Click for new image
If you can't read the code, Click image to refresh